| NPI | 1124208947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN L. HEMMING Program Administrator 801-581-8573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2013-12-11 |